The ER doctor asked Tilly, a 96-year-old woman, what she wanted to do. Tilly had COPD and difficulty breathing. There was no evidence of pneumonia on her chest x-ray, and
her lab studies were unremarkable. Did Tilly feel comfortable going home, or did she prefer to stay in the hospital?
Carol, Tilly's daughter, gave her mother a chance to respond. Tilly thought she might like to go home, and Carol rolled her eyes. Carol pushed the issue by stating, "Do you want to die?" Tilly quickly came to her senses after she angered her daughter, acting as her caregiver. Tilly
promptly agreed to stay in the hospital.
What was Carol’s advance care plan for her mother? Did she intend to lighten up at the end or to create hardship for her mother?